UIC Medical Center chargemaster database 2010

UIC Medical Center OTC price list 8/22/2010

STORE ITEM

PCC 12 HR NASAL 0.05% SPR

PCC 2 OZ SYRINGE CATH TIP MIS

PCC ACCU-CHECK COMPACT 51 TESTS

PCC ACCU-CHEK ACTIVE STRIPS

PCC ACCU-CHEK ADVANTAG KIT

PCC ACCU-CHEK COMFORT CURVE STRIPS

PCC ACCU-CHEK COMPACT PLUS KIT

PCC ACEPHEN 120MG SUP

PCC ADEKS TAB

PCC ALAMAG ORAL SUSP

PCC ALBUSTIX REGANT STRIP

PCC ALCOHOL PREP PAD

PCC ALLER-CHLOR 4MG TAB

PCC ALU-CAP 400MG CAP

PCC AMLACTIN 12% LOT

PCC ANIMAL SHAPE CHEWABLE

PCC ANU-MED SUP

PCC APAP 80/0 . 8ML DRO

PCC ASCENSIAAUTODISC TEST STRIPS

PCC ASCENSIA BREEZE 2 STRIPS

PCC ASCENSIA ELITE TEST STRIPS

PCC ASPIRIN 325MG EC TAB

PCC ASPIRIN 8 IMG CHW

PCC ASPIRIN CHILDRENS CHEWABLE TAB

PCC ASPIR-LOW 8 IMG EC TAB

PCC BACITR ZINC 500U/GM OIN

PCC BACITRACIN OINT 500U/GM

PCC B-D MF SYRG 0.5CC/28G MIS

PCC B-D UF PENNEEDLE 29GX 1/2

PCC BENADRYL 25MG KAP

PCC BISAC-EVAC 10MG SUP

PCC BISACODYL 10MG SUP

PCC BISACODYL 5MG EC TAB

PCC BLOOD PRESSURE KIT (CHILD)

PCC CALC ANTACID 500MG CHW

PCC CALCIONATE 1.8GM/5ML SYP

PCC CALCIUM + D 600/400MG TAB

PCC CALCIUM CARB 1250/5ML SUS

PCC CALCIUM CARB 600MG TAB

PCC CALCIUM CARB 650MG TAB

PCC CALCIUM CIT 950MG TAB

PCC CALCIUM CITRATE / VIT D

PCC CALCIUM GLUC 975MG TAB

PCC CARBAMIDE 6.5% OT SOL

PCC CARMOL 10 10% LOT

PCC CARMOL 20 20% CRE

PCC CARRASYN V DRESSING GEL

PCC CARRINGTON MOIST BARR CREAM

PCC CHERRY SYP

PCC CHILDS VITE CHW

PCC CITRUCEL SF ORANG POW

PCC CONDOMS-PREM LUBRICAT MIS

PCC CURASOLWOUNDRESSrNGGEL

1

Usual &

PKGSIZE Customary

Charge

15

$4.00

30

$24.84

51

$51.89

50

$29.54

1

$59.40

50

$54.54

1

$17.23

12

$6.37

60

$19.22

355

$4.00

100

$32.89

200

$4.00

100

$4.00

100

$17.66

225

$10.14

100

$4.94

12

$4.00

15

$4.00

50

$54.43

50

$52.92

50

$55.89

1,000

$18.89

36

$4.00

36

$4.00

1,000

$18.89

30

$4.00

28

$4.00

100

$24.57

100

$29.30

24

$4.04

50

$10.15

50

$7.38

1,000

$19.35

1

$31.50

150

$4.00

480

$17.76

150

$5.22

500

$11.13

60

$4.00

1,000

$14.18

100

$5.53

60

$5.03

1,000

$24.03

15

$4.00

177

$17.00

85

$15.64

85

$16.76

99

$6.43

480

$8.53

100

$4.00

479

$11.62

12

$4.00

90

$12.86

UIC Medical Center OTC price list 8/22/2010

PCC CYANOCOBALAMIN 1000MCG/ML INJ

PCC DAILY VITE TAB

PCC DAILY-VITE

PCC DESENEX SPRY PWD

PCC DIAPER ADULT REG

PCC DIASTIX STRIPS TES

PCC DOCUSATE SOD 1 50/1 5ML LIQ

PCC DOCUSATE SODIUM 1 00MG SFTGL PER@ 1 00

PCC DOMEBORO

PCC DOUBLE ANITBIO OINT

PCC DRESSING ALGINATE 12IN ROPE

PCC DRISDOL 8000U/ML DRO

PCC DUODERM CGF 8X8 MIS

PCC ENFAMIL LIPIL

PCC ENSURE+ VANIL INST PK 80Z CS

PCC FERROUS SULF 75/0.6ML DRO

PCC FIBER LAXATIVE TABLET

PCC FLEET ENEMA

PCC FLEET PED ENEMA

PCC FOAM DRESSING 4X4 (BIATIN) 1

PCC GAUZE PADS 2X2

PCC GAUZE PADS 4X4

PCC GAUZE VASELrNE 3X36

PCC GEL-KAM 0.4% GEL

PCC GENASYME 40/0.6ML DRO

PCC GENTEAL LUB EYE DROPS

PCC GLOVES- LATEX PF SZ L

PCC GLOVES LRG L/F P/F

PCC GLUCERNA SELECT VANILLA 240ML

PCC GLUCERNA SHK VAN 24/CASE

PCC GLUTOSE 40% GEL

PCC GUAIFENESIN 200MG TAB

PCC HIBICLENS 4% LIQ

PCC HOSE T.E.D KNEE #7115

PCC HOSE T.E.D. THIGH 3549

PCC HYDROCERIN CREAM

PCC H YDROCORT 0.5% OIN

PCC H YDROCORT LOT 1% 40Z

PCC IBUPROFEN 200MG TAB

PCC JEVIT Y 1.5 CAL RTU

PCC JOBST 20-30 KN BGE MED

PCC KETAMINE 500MG/5ML INJ

PCC KETO-DIASTIX TEST STRIPS

PCC KETOSTIX STRIP TES

PCC LACRI-LUBE S.O.P OrN

PCC LAMISIL AT 1% CRE

PCC LANTUS 100U/ML INJ

PCC LORATIDINE 10MG TAB

PCC MECLIZINE 12.5MG TAB

PCC MELATONIN 3MG TABLET

PCC METAMUCIL CAPSULE

PCC MICONAZOLE 2% CRE

PCC MICONAZOLE 2% CRE

PCC MICONAZOLE 7 100MG SUP

PCC MICROLET LANCET

PCC MIDAZOLAM H YD 2MG/2ML VIAL S

250

$74.25

100

$4.00

,000

$18.83

100

$4.39

1

$4.00

100

$11.23

473

$12.56

100

$4.92

100

$57.14

28

$7.74

5

$20.54

60

$139.15

10

$107.72

366

$14.56

24

$4.00

50

$4.24

90

$8.99

133

$4.00

67

$4.00

10

$48.61

100

$5.24

50

$4.00

1

$4.00

100

$14.13

30

$4.00

15

$7.27

100

$7.64

100

$4.05

24

$77.90

24

$46.17

113

$10.67

100

$21.56

236

$7.55

1

$9.21

1

$27.24

454

$12.03

30

$4.00

118

$7.11

500

$14.81

24

$64.39

1

$47.26

50

$106.20

50

$11.23

100

$16.20

7

$14.96

24

$11.01

10

$100.28

100

$74.25

100

$6.55

120

$5.39

100

$8.85

30

$4.00

45

$7.74

7

$10.41

100

$8.96

20

$4.68

UIC Medical Center OTC price list 8/22/2010

PCC MONISTAT 3 CRE W/APPLIC

PCC MULTI-VITAMINS TAB

PCC MURO 128 5% OP OIN

PCC NAPHCON-A OP SOL

PCC NEOCATE FORMULA

PCC NIACIN 100MG TAB

PCC NIACIN 250MG TAB

PCC NOVOLIN N U-100 INT

PCC NOVOLIN R U- 1 00 IN J

PCC OMEGA-3 1000MG CAP

PCC ONE TOUCH FPNEPOINT LANCETS

PCC ONE TOUCH ULTRA SOFT LANCETS

PCC ONE-TAB-DAILY W/ IRON TAB

PCC ORA-PLUS LIQ

PCC OYSTER SHELL 500MG TAB

PCC OYSTER SHELL+D 500/200MG TAB

PCC PAM-B-D MF SYRG 0.5CC/28G MIS

PCC PAM-HUMULIN 70/30 INJ

PCC PEAK FLOW METER LR (BLUE)

PCC PEDIASURE CHOC LIQ 80Z 6CT

PCC PILL BOX (MEDICHEST LG)

PCC PILL CUTTER

PCC POLY- VITAMIN /IRON DRO

PCC POLY- VITAMIN DRO

PCC PONARIS SOL

PCC PRECISION QID TES

PCC PRESER VISION AREDS

PCC PSEUDOEPHEDRINE 30MG TAB

PCC PYRIDOXPNE 50MG TAB

PCC REFRESH OP SOL

PCC REFRESH-PM OP OIN

PCC REGULOID ORANGE POW

PCC REGULOID ORANGE POW

PCC SARNALOT

PCC SELSUN BLUE 1% SHA

PCC SENNA NATURAL LAXATIVE 8.6 MG TABLETS

PCC SODIUM BICARB 325MG TAB

PCC SODIUM BICARB 650MG TAB

PCC SOFT TOUCH LANCETS MIS

PCC SORBITOL 70% SOL

PCC STOMAHESIVE POW

PCC SURESTEP STRIPS TES

PCC SURFAK 240MG CAP

PCC SURGILUBE 120.49G

PCC TEARS NATURA II OP SOL

PCC TEGADERM FM DRES MIS 4X4

PCC THIAMINE HCL 100MG TAB

PCC URINARY DRAINAGE LEG BAG

PCC URISTIX STRIPS TES

PCC VITAMIN A 10000IU CAP

PCC VITAMIN A&D OIN

PCC VITAMIN B COMPLEX CAP

PCC VITAMIN B-12 100MCG TAB

PCC VITAMIN C 500MG

PCC VITAMIN C 500MG TAB

PCC VITAMIN D 1 000 IU

15

$12.94

,000

$17.21

4

$16.34

15

$7.61

400

$132.84

100

$4.00

100

$4.00

10

$53.21

10

$53.21

90

$6.54

100

$9.07

100

$9.29

100

$4.00

480

$17.69

,000

$21.59

300

$10.13

100

$22.59

10

$35.63

1

$15.02

6

$13.21

1

$4.36

1

$4.00

50

$9.72

50

$9.72

30

$12.02

50

$53.13

120

$27.69

100

$4.09

,000

$14.10

30

$8.65

4

$7.63

369

$4.73

426

$7.16

222

$7.02

118

$4.00

100

$9.53

,000

$10.40

,000

$12.29

200

$10.26

473

$6.25

28

$6.44

50

$55.24

100

$15.70

,446

$17.28

15

$8.44

50

$65.36

,000

$18.23

1

$6.30

100

$26.60

100

$4.00

60

$4.00

100

$4.12

100

$4.00

250

$6.29

,000

$33.42

100

$6.26

UIC Medical Center OTC price list 8/22/2010

PCC XEROFORM 5IN X 9 IN MIS 50 $47.21

PCC ZINC OXIDE OINTMENT USP 28 $4.00

8/25/2010